Mrs Devah Nikole Pittman, PA-C is a medicare enrolled "Physician Assistant" in Clarendon, Texas. Her current practice location is
1 Medical Dr, Clarendon, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 874-3531.
Mrs Devah Nikole Pittman is licensed to practice in Texas (license number PA05325) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053592444.
Provider's Profile
Full Name | Mrs Devah Nikole Pittman |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1 Medical Dr, Clarendon, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053592444
- Provider Enumeration Date: 11/14/2007
- Last Update Date: 11/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 9234353244
- Enrollment ID: I20140613000985
Medical Identifiers
Medical identifiers for Mrs Devah Nikole Pittman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053592444 | NPI | - | NPPES |
2831612-04 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA05325 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Devah Nikole Pittman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Devah Nikole Pittman, PA-C One Medical Drive, Clarendon, TX 79226 Ph: (806) 874-3531 | Mrs Devah Nikole Pittman, PA-C 1 Medical Dr, Clarendon, TX 79226-6046 Ph: (806) 874-3531 |
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